HomeMy WebLinkAbout1416 Edgehill Drive - SL - 2022.09.27 (10)Address: ),ti lb 'Fi1i6Y iiI k
Owner: ?iliytoil- I T1 YloiN"
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: 9 1 Zi 1 It -
Building
-
Building Permit #:
Contractor Name: "D N61VAr(� PwN S4WIACM U✓ ),>G Encroachment Permit #: ?Vj IIL-. 05, 6L(
City Staff Name:
Cleanout Location:
2§ Front
❑ Rear
❑
Left
❑
Right
Face of Curb
La u
Lateral Size:
Cleanout: 10 Existing ❑ New Installation
Comments and/ or
Sketch: 'iT'SS
U) ST
Test Type: QP Water ❑ Air
Status: IN Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year 0